Provider Demographics
NPI:1003498239
Name:BIAS, JAYCIE LEIGH (MSW, LGSW)
Entity Type:Individual
Prefix:MRS
First Name:JAYCIE
Middle Name:LEIGH
Last Name:BIAS
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151A STATE ROUTE 10
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504
Mailing Address - Country:US
Mailing Address - Phone:740-777-3561
Mailing Address - Fax:
Practice Address - Street 1:1596 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-4035
Practice Address - Country:US
Practice Address - Phone:681-378-3881
Practice Address - Fax:681-378-3887
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP00945839261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)